Dr John Stephen Kundrat, MD PA in Lewiston, ID - Ophthalmology

Dr John Stephen Kundrat, MD PA is a Ophthalmology physician based in Lewiston, Idaho. Dr John Stephen Kundrat is licensed to practice in Idaho (license number M3432) and his current practice location is 3316 Fourth Street, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 746-0458.

NPI number for Dr John Stephen Kundrat is 1063589133 and his current mailing address is 3316 Fourth Street, Bldg 3, Lewiston, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063589133.

Contact Information

	Dr John Stephen Kundrat, MD PA
	3316 Fourth Street, Lewiston, ID 83501-4405
	(208) 746-0458
	(208) 743-6020

Physician's Profile

Full Name	Dr John Stephen Kundrat
Gender	Male
Speciality	Ophthalmology
Location	3316 Fourth Street, Lewiston, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1063589133
Provider Enumeration Date: 11/30/2006
Last Update Date: 12/19/2012

Medical Identifiers

Medical identifiers for Dr John Stephen Kundrat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063589133	NPI	-	NPPES
002460100	Medicaid	ID
1478601	Other	WA	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	M3432 (Idaho)	Primary
207W00000X	Ophthalmology	MD00014874 (Washington)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Stephen Kundrat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John Stephen Kundrat, MD PA 3316 Fourth Street, Bldg 3, Lewiston, ID 83501-4405 Ph: (208) 746-0458	Dr John Stephen Kundrat, MD PA 3316 Fourth Street, Lewiston, ID 83501-4405 Ph: (208) 746-0458

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Dr John Stephen Kundrat, MD PA - Ophthalmology in Lewiston, ID